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1235977968
WENDELL MARGO MAURICE EVANS
BROOKLYN, NY
NPI
1235977968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY RO41606-01)
Enumeration Date
2024-07-17
Last Update Date
2024-07-17
Business Address
WENDELL MARGO MAURICE EVANS LCSW-R
555 ROCKAWAY PKWY # 113
BROOKLYN, NY 11212-3132
Phone number: 718-240-5121
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Mailing Address
WENDELL MARGO MAURICE EVANS LCSW-R
130 OVERLOOK AVE APT 12A
HACKENSACK, NJ 07601-7804
Phone number: 347-213-8321
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